摘    要

在我国，随着信息时代的到来，计算机在各行各业得到了越来越广泛的应用，医院信息系统(Hospital Information System，简称HIS)就是在这样一种情况下发展起来的。通过应用医院信息系统，实现医院管理的现代化，提高工作效率，更好地为病人服务，同时结合医疗和管理过程的实际需要，将信息作为医院的一项重要资源，集中管理，提高管理水平、辅助决策，使医院经济朝着高效益、高质量的方向发展。

医院的经济活动，主要发生在门诊、住院处、药剂管理中。每日的收入主要靠门诊、住院处两个窗口来实现。本文所开发的正是医院信息系统的经济管理部分，包括门诊挂号、门诊划价收费和住院收费三个部分，实现医院收费全过程由计算机完成，既增加了医院的经济效益，也同时解决了患者交费时间长的老大难问题，加强了医院管理的科学化、规范化。  

论文主要从以下几个方面对本文的工作进行论述和说明。首先阐述了医院信息系统在国内外的发展现状和存在的问题，提出了本系统开发的意义和研究的内容。然后从医院的业务流程和调研结果考虑，对本次开发的医院信息系统从整体上进行需求分析，确定整个系统的设计原则、设计思想。在此基础上结合医院经济管理部分的功能特点及实际要求，详细的设计了经济管理部分的开发方案，主要包括门诊挂号收费管理子系统和住院收费管理子系统的设计方案，系统数据流图和E－R图设计，并对系统安全和数据库进行相应的设计。考虑到用户需求和实际情况，结合设计方案，每个子系统都具有其自身的特点，本文将对每一个子系统的相关功能和特点给予重点说明和示例。

最后本文针对本次开发的完整的医院信息系统进行测试，选择合适的测试方法，设计整个系统的测试用例，发现系统中存在的问题，用以保证软件的质量和可靠性。

关键词：医院信息系统；经济管理；数据库设计；测试

The Design and Realization of Economic Management of HIS

Abstract

In China, with the arrival of the information age, computer have been widely used in various trades .Hospital Information System(HIS)is in such a situation to develop. Through the application of HIS, realizing a modern hospital management, improving work’s efficiency, delivering better services for patients. Consider the information as an important resource, combined with medical management process and the actual needs of the hospital centralized management, to improve the level of management, decision support, enable the hospital to the economy toward high-efficiency, high-quality development.

The mainly hospital economic activities are in out-patient, hospital, pharmacy management. The daily income mainly depends on two windows of outpatient and hospital department .This paper develop the hospital information system of economic management, including patient registration ,patient fees and hospital charges three part, which realize the entire process of the of hospital charges by computer, which not only make the offer out, review and closure, classification, collected quickly and accurately, but also provide a large number of comprehensive data ,which increase the economic efficiency of the hospitals, resolve long-standing problems of the patients to pay .which enhance the hospital management to scientific and standardized.

The papers mainly from the following aspects of the work done for exposition and show .This paper describes the development of the HIS at home and abroad and the existing problems first ,put the significance of this system and the contents of this research. Then considering the hospital's overall business processes and the results of a survey, the development of the HIS as a whole needs analysis to determine the design of the entire system design principles. Combined functional characteristics and the actual requirements of hospital’s economic management .The paper design detailed the development program of economic management ,including patient registration, patient fees and hospital charges development program, data flow diagram of system and the designation of Entity - Relationship and design database and system security. Considering  the user needs and actual conditions, combined the development program ,design options for each of the subsystems have their own characteristics. This paper will give descriptions and examples of functions and features of each subsystem. Finally this paper give a test of a complete hospital information system, selection of suitable testing methods. Designation the test of  the whole system and finding the existing problem of the system, to ensure the quality and reliability of software.

Key Words：Hospital Information System；Economic Management；the database design；Test